Prevalence and Predictors of Adverse Childhood Experiences among Youths in Rural communities of Oyo State, South-west, Nigeria

Salawu, Mobolaji M.; Owoaje, Eme T.

doi:10.4314/jcmphc.v32i2.3

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…A possible justification for this finding might be that as age advances, people tend to experience reduced daily functioning abilities, a decreased sense of self-worth, a lower degree of life satisfaction, pain, a lower economic status, and familial losses, which can increase the risk of depression. This was in line with studies conducted in Nigeria ( 42 ), Vietnam ( 20 ), and India ( 44 ). This study also found that the odds of having depression among elderly participants who lived alone were two times higher than among participants living with family (AOR = 1.99, 95% CI: 1.17–3.41).…”

Section: Discussionsupporting

confidence: 91%

“…In the Ghana study, the discrepancy might be attributable to the sample size used, which was 262, and sociocultural differences. This study is also higher than community-based studies conducted in Nigeria, 44.7% (42); Nepal, 41.8% (43); and Singapore, 17.1% (21). The variations seen might be due to differences in measurement scales, sample sizes, sampling techniques, and time variation compared to the current study.…”

Section: Discussioncontrasting

confidence: 60%

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Prevalence of depressive symptoms and their associated factors among older adults in Yirgalem town, Southern Ethiopia: A community-based cross-sectional study

et al. 2023

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BackgroundDepression is a serious mental health issue and the largest contributor to disability worldwide. Elderly people with depression are significantly more likely to experience negative outcomes such as poor physical health, strained social relationships, and decreased quality of life. Studies on geriatric depression are limited in developing nations like Ethiopia.ObjectivesThe purpose of this study was to determine the prevalence of depressive symptoms and associated factors among older adults in Yirgalem, Southern Ethiopia, in 2022.MethodsA community-based cross-sectional study was conducted on a sample of 628 older adults in Yirgalem town from May 15 to June 15, 2022. The study subjects were selected using a multi-stage systematic sampling technique. Data were collected using the 15-item Geriatric depression scale through face-to-face interviews. The collected data were edited, cleaned, coded, and entered into Epi data version 4.6 software and analyzed using STATA version 14. Bivariable and multivariate logistic regression analysis was computed to identify factors associated with depression, and statistical significance was declared at a 95% confidence interval with a P-value less than 0.05.ResultsA total of 620 older adults were included in the study, with a response rate of 97.8%. The prevalence of depressive symptoms among older adults was 51.77% (95% CI: 47.83–55.69). Being a woman (AOR = 2.3, 95% CI: 1.56–3141); being of more advanced age: 70–79 years old (AOR = 1.92, 95% CI: 1.20–3.07), 80–89 years old (AOR = 2.15, 95% CI: 1.27–3.65), 90 and older (AOR = 3.77, 95% CI: 1.95–7.79); living alone (AOR = 1.99, 95% CI = 1.17–3.41); having a chronic illness (AOR = 3.24, 95% CI: 1.06–4.46); having anxiety (AOR = 3.40; 95% CI: 2.25–5.14); and having poor social support (AOR = 3.56, 95% CI: 2.09–6.04) were statistically associated with depressive symptoms at a P-value of less than 0.05.ConclusionThis study found that depression affects more than half of the elderly residents in the study area. More advanced age, being a woman, living alone, having a chronic illness, having anxiety, and having poor social support were all strongly linked to depression. There is a need to integrate counseling and psychiatric services into the community healthcare system.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 60%

Prevalence of depressive symptoms and their associated factors among older adults in Yirgalem town, Southern Ethiopia: A community-based cross-sectional study

et al. 2023

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“…That is, compared with participants without emotional neglect and community violence before the age of 18 years, it was observed that multimorbidity (number of chronic diseases) was higher among those that reported a history of emotional neglect and community violence. The finding in this study is consistent with findings from Vásquez et al, (2019), conversely, the finding in our study are partially congruent with another study in Nigeria by Salawu and Owoaje, (2020). While it was similarly stated that most respondents reported they had experienced ACEs, differences were observed in the most prevalent ACEs with psychological neglect, physical neglect psychological abuse, and household substance abuse being the most prevalent in their study.…”

Section: Discussionsupporting

confidence: 93%

Understanding Multimorbidity of Older Adults in Niger State North Central Nigeria.

Ahmed

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Background: Multimorbidity is defined as the co-occurrence of at least two chronic diseases in the same person. With advancing epidemiological and demographic transitions, the burden of multi-morbidity is expected to increase globally, and Nigeria is not an exemption. Overall objectives: The aim of the study was to develop a better understanding of multimorbidity among elderly Nigerians. Methods: A multi-methods (systematic literature review, quantitative and qualitative) survey was conducted. The systematic review was preceded by a designed priori protocol following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist and the PRISMA Protocols statement. Data for the quantitative, and qualitative were administered on a cross-section of 734 and 12 multimorbid participants selected from 4 secondary hospitals and the communities respectively in Niger state over 5 months. SPSS and NVivo were used to analyze the quantitative and qualitative phases data respectively. Results: The prevalence of multimorbidity in Niger state north central Nigeria was 51.9% with multimorbidity prevalence ranging from 27% to 74% across Nigeria. Chronic disease conditions like hypertension, diabetes, and acid peptic diseases were the commonly occurring clusters of multimorbidity. A positive association between adverse childhood experiences (AECs) and multimorbidity was observed. The study also observed an association between adverse childhood experiences (ACEs) and behavioral risk factors. A Positive moderate association was observed between age and multimorbidity and a negative association was found between multimorbidity and levels of education and income. Using Donabedian’s model of healthcare quality revealed the process component of the model to be the primary component in determining the perceived quality of healthcare services among elderly multimorbid patients in Niger state north central Nigeria. Conclusion: There is a need to recognize ACEs and their consequences as a public health problem in Nigeria and commence the practice of public health surveillance to reduce the occurrence of ACEs and their effects. The prevention of multimorbidity should begin from childhood by preventing ACEs through the creation of a positive setting for both children and families and a system that supports healthy families. Additionally, identifying the common pattern of multimorbidity will provide insight to develop more integrative multidisciplinary preventive and better management approach for multimorbidity. Finally, access to and quality of health care can be improved by improving patient-physician relationships, reducing waiting times for seeing physicians and reducing financial cost of medical treatment. improving the These findings are important to better inform policymakers and related stakeholders, in order to ensure equitable access and improve the health outcomes of multimorbid patients and the overall population’s health. Although the result of this study has the potential to illuminate some of the weaknesses of the current multimorbidity care among the elderly, the sample selection is limited to 4 hospitals and some communities in Niger state, thus the findings cannot be generalized for the country. Nevertheless, the study can be replicated elsewhere in the country to increase its impact.

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“…[ 19 ] Our finding is also in line with a Nigerian study, which investigated depression among elders in the rural community and did not find the link of gender with depression. [ 26 ] However, varied findings have been reported in the literature regarding gender as a determinant of depression in the elderly. A community-based study from Peshawar exploring depression among the elderly did not investigate gender-based prevalence.…”

Section: Discussionmentioning

confidence: 99%

Frequency and predictors of depression among the elderly population of Karachi

Ali

Amin²,

Saeed³

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Context: Depression among the elderly is falsely considered as a normal part of aging and hence remains un-diagnosed in the majority. Elderly people are at a high risk of depression, which may produce a negative impact on their quality of life. Depression is a potentially treatable condition; hence, it is worthwhile to explore its burden in order to ensure its timely evaluation and management. Aims: To determine the frequency and predictors of depression among the elderly population of Karachi. Settings and Design: The current study was a cross-sectional study, conducted in out-patient clinics of a tertiary care hospital and its out-reach centers located in different areas of Karachi. Methods and Material: Patients aged 60 years and above were enrolled in the study. Demographic profiles and physical health conditions were investigated. Depression was assessed using Geriatric Depression Scale-15. Statistical Analysis: Data were entered in SPSS version 21 for statistical analysis. Results: A total of 232 participants were enrolled into the study with a median age of 65.8 [inter-quartile range = 61–69] years. Out of 232 participants, 186 (80.2%) were found to be depressed. In the multi-variable model, employment status, financial issues, and peer groups were left as independent predictors of depression. Conclusion: The current study found a significant burden of depression among elderly people in Karachi. Employment status, financial problems, and relationship with peers have been identified as risk factors of depression. There might be over-reporting of depression as the data collection was conducted during the coronavirus disease 2019 first wave. Hence, further community-based research is warranted to confirm the findings.

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Prevalence and Predictors of Adverse Childhood Experiences among Youths in Rural communities of Oyo State, South-west, Nigeria

Cited by 6 publications

References 20 publications

Prevalence of depressive symptoms and their associated factors among older adults in Yirgalem town, Southern Ethiopia: A community-based cross-sectional study

Prevalence of depressive symptoms and their associated factors among older adults in Yirgalem town, Southern Ethiopia: A community-based cross-sectional study

Understanding Multimorbidity of Older Adults in Niger State North Central Nigeria.

Frequency and predictors of depression among the elderly population of Karachi

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